Charles Lee Jackson, MD - Medicare Urology in Chattanooga, TN

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Charles Lee Jackson, MD is a medicare enrolled "Urology" physician in Chattanooga, Tennessee. His current practice location is 725 Glenwood Dr, Ste E790, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 495-3068.

Charles Lee Jackson is licensed to practice in Tennessee (license number 41776) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942263793.

Contact Information

Charles Lee Jackson, MD
725 Glenwood Dr, Ste E790,
Chattanooga, TN 37404-1178
(423) 495-3068
(423) 495-3022

Map and Direction




Physician's Profile

Full NameCharles Lee Jackson
GenderMale
SpecialityUrology
Location725 Glenwood Dr, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942263793
  • Provider Enumeration Date: 04/11/2006
  • Last Update Date: 06/04/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9335033091
  • Enrollment ID: I20080730000688

Medical Identifiers

Medical identifiers for Charles Lee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942263793NPI-NPPES
044337900MedicaidFL
1507399MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology ME0053658 (Florida)Secondary
208800000XUrology 41776 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Lee Jackson allows following entities to bill medicare on his behalf.
Entity NameMemorial Health Partners Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922053545
PECOS PAC ID: 8022919570
Enrollment ID: O20040116000823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Lee Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Lee Jackson, MD
725 Glenwood Dr, Ste E790,
Chattanooga, TN 37404-1178

Ph: (423) 495-3068		Charles Lee Jackson, MD
725 Glenwood Dr, Ste E790,
Chattanooga, TN 37404-1178

Ph: (423) 495-3068

Reviews and Comments


Urology Doctors in Chattanooga, TN

Dr. Samuel M Currin, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 725 Glenwood Dr, Ste E780, Chattanooga, TN 37404
Phone: 423-697-0072    Fax: 423-697-1798
Kymber L Habenicht, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Cleveland Ave, Chattanooga, TN 37404
Phone: 423-756-7860    Fax: 423-756-9137
Dr. Marty Scheinberg, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Cleveland Ave, Chattanooga, TN 37404
Phone: 423-756-7860    
Dr. Henry Tobechi Okafor, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 979 E 3rd St Ste C-925, Chattanooga, TN 37403
Phone: 423-778-5910    Fax: 423-778-5915
Dr. David Sahaj, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Cleveland Ave, Chattanooga, TN 37404
Phone: 423-756-7860    
Benjamin Tracy Waldorf, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 979 E 3rd St Ste C-925, Chattanooga, TN 37403
Phone: 423-778-5910    Fax: 423-778-5915
Daniel B Herz, M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 979 E 3rd St, Suite C-925, Chattanooga, TN 37403
Phone: 423-778-5910    Fax: 423-778-5915

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.